Crowley Ridge Care Center

In the surveyor’s words

From the most serious findings on record at Crowley Ridge Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Apr 5, 2024

  Based on observation, record review and interview, the facility failed to store and distribute food under sanitary conditions, increasing the risk of cross-contamination and food-borne illness. This has the potential to affect all residents. The facility census was 43. Review of the facility's policy titled, Storage of Dry Food and Supplies, dated April 2011, showed: - The Dietary Department will store dry food and supplies according to facility guidelines and state regulations; - The storeroom must be neat and orderly; - Open boxes are to be effectively resealed. […]

• No harm, potential for more than minimal, widespreadF882Nov 4, 2022

  Based on interview and record review, the facility failed to ensure at least one person had completed specialized training in infection prevention and control for the Infection Preventionist (IP), a professional who assures healthcare workers and residents are doing everything possible to prevent infection, position. This had the potential to affect all residents in the facility. The facility census was 41. The facility did not provide records indicating any staff member had been enrolled in the specialized training for the IP position. During an interview at 11/03/22 at 1:21 P.M., the Director of Nursing (DON) said she had been keeping track of the antibiotic stewardship and would be signing up for the IP class that day. […]

• No harm, potential for more than minimal, isolatedF602Jun 10, 2025

  Based on interview and record review, the facility failed to ensure one resident (Resident #1) out of four sampled residents was free of misappropriation of his/her property when Social Services Director (SSD) utilized the resident's banking information for his/her own personal use. The facility census was 50. The administration was notified on 06/10/25 of the Past Non-Compliance which occurred between 06/03/25 through 06/09/25. On 06/03/25, upon notification, the facility administration started an investigation, notified the police department and the Department of Health and Senior Services of the misappropriation. […]

• No harm, potential for more than minimal, isolatedF637Mar 20, 2025

  Based on interview and record review, the facility failed to complete a significant change Minimum Data Set (MDS - a federally mandated assessment instrument required to be completed by facility staff) assessment within 14 days of admission of hospice services for one resident (Resident #50) out of three sampled residents. The facility census was 48. The facility did not provide a policy regarding the completion of significant change MDS assessments. 1. Review of Resident #50's medical record showed: - admitted to hospice services on 02/26/25; - No significant change MDS dated on or after 02/26/25; - The facility failed to complete a significant change MDS within 14 days of the resident's admission to hospice. […]

• No harm, potential for more than minimal, isolatedF699Mar 20, 2025

  Based on observation, interview, and record review, the facility failed to identify, assess, and provide supportive interventions for one resident (Resident #47) with a diagnosis of post traumatic stress disorder (PTSD - a mental health condition triggered by a terrifying event - either experiencing it or witnessing it; symptoms may include flashbacks, nightmares and severe anxiety, as well as uncontrollable thoughts about the event) out of one sampled residents The facility's census was 48. The facility did not provide a policy regarding trauma informed care. 1. […]